scholarly journals Comunicação ineficaz e suas consequências para o paciente grave

2019 ◽  
Vol 9 (27) ◽  
pp. 117
Author(s):  
Rafael Mondego Fontenele ◽  
Victória Ribeiro da Silva Santini ◽  
Fernanda Cecília Monroe Santos ◽  
Darly Serra Cutrim ◽  
Rose Daiana Cunha dos Santos ◽  
...  
Keyword(s):  
Safety Culture ◽  
Critical Care Patient ◽  
Health Sciences ◽  
Care Patient ◽  
Near Miss ◽  
Hospital Environment ◽  
Review Of The Literature ◽  
Patient Centered ◽  
Centered Care ◽  
Terapia Intensiva

A comunicação eficaz é importante para garantia do cuidado centrado na segurança do paciente. O objetivo do presente estudo foi identificar os principais problemas relacionados à comunicação ineficaz e suas consequências para a saúde de pacientes graves na unidade de terapia intensiva. Tratou-se uma revisão integrativa da literatura realizada nas bases científicas da SCIELO, LILACS e BIREME a partir da combinação de descritores em ciências da saúde no portal da Biblioteca Virtual em Saúde. Os principais problemas estão relacionados à comunicação verbal e escrita e na subutilização dos recursos disponíveis por falta de treinamento, bem como a interpretação equivocada dos dados sem relevância clínica para os doentes, favorecendo a tomada de condutas desnecessárias. Concluiu-se que a comunicação é imprescindível para melhorar vínculos e favorecer a humanização no ambiente hospitalar. Sugere-se a ampliação de espaços que se possa discutir a cultura de segurança do paciente.Descritores: Comunicação em Saúde, Cuidados Críticos, Segurança do Paciente, Near Miss. Ineffective communication and its consequences for the severe patientAbstract: Effective communication is important to ensure patient-centered care. The objective of the present study was to identify the main problems related to ineffective communication and its consequences for the health of serious patients in the intensive care unit. An integrative review of the literature on the scientific bases of Scielo, Lilacs and Bireme was done by combining descriptors in health sciences in the Virtual Health Library portal. The main problems are related to verbal and written communication and underutilization of resources available for lack of training, as well as misinterpretation of data without clinical relevance to patients, favoring the taking of unnecessary behaviors. It was concluded that communication is essential to improve links and promote humanization in the hospital environment. It is suggested to widen spaces that one can discuss the safety culture of the patient.Descriptors: Health Communication, Critical Care, Patient Safety, Near Miss. Comunicación ineficaz y sus consecuencias para el paciente graveResumen: La comunicación eficaz es importante para garantizar el cuidado centrado en la seguridad del paciente. El objetivo del presente estudio fue identificar los principales problemas relacionados con la comunicación ineficaz y sus consecuencias para la salud de pacientes graves en la unidad de terapia intensiva. Se trató una revisión integrativa de la literatura realizada en las bases científicas de Scielo, Lilacs y Bireme a partir de la combinación de descriptores en ciencias de la salud en el portal de la Biblioteca Virtual en Salud. Los principales problemas están relacionados a la comunicación verbal y escrita y en la infrautilización los recursos disponibles por falta de entrenamiento, así como la interpretación equivocada de los datos sin relevancia clínica para los pacientes, favoreciendo la toma de conductas innecesarias. Se concluyó que la comunicación es imprescindible para mejorar vínculos y favorecer la humanización en el ambiente hospitalario. Se sugiere la ampliación de espacios que se pueda discutir la cultura de seguridad del paciente.Descriptores: Comunicación en Salud, Cuidados Críticos, Seguridad del Paciente, Near Miss.

scholarly journals Saberes e práticas do enfermeiro na unidade de terapia intensiva

2019 ◽  
Vol 13 (1) ◽  
pp. 70
Author(s):  
Maria do Carmo Campos Pereira ◽  
Susane de Fátima Ferreira Castro ◽  
Elyrose De Sousa Brito ◽  
Nirvânia Do Vale Carvalho ◽  
Danielle Vilela Lopes ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Quality Care ◽  
Structured Interview ◽  
Care Patient ◽  
Patient Centered ◽  
Centered Care ◽  
Terapia Intensiva

ABSTRACTObjective: to analyze nurses' knowledge and practice about "quality nursing care" in the Intensive Care Unit. Method: this is a qualitative, descriptive, observational study carried out with ten effective ICU nurses. A semi-structured interview script was applied, and the data analyzed through Content Analysis. Results: it is revealed that the majority is female, with a mean age of 44 years and a mean age of 16 years. Two categories were generated, one of which refers to the knowledge of nurses about the quality of nursing care and another about the practice of nurses. Conclusion: it was observed that nurses attributed the quality of care to patient-centered care in a humanized, holistic and safe way. In terms of applicability in practice, routine activities were considered as processes that guarantee quality care. It contributes, through the results, to planning and improvement of Nursing care. Descriptors: Quality of Health Care; Nursing; Nursing Care; Patient Safety; Intensive Care Unit; Health Care.RESUMOObjetivo: analisar o conhecimento e a prática do enfermeiro sobre a “assistência de Enfermagem de qualidade” na Unidade de Terapia Intensiva. Método: trata-se de estudo qualitativo, descritivo, observacional, realizado com dez enfermeiros efetivos da UTI. Aplicou-se um roteiro de entrevista semi-estruturado e analisaram-se os dados por meio de Análise de Conteúdo. Resultados: revela-se que a maioria é do sexo feminino, com idade média de 44 anos e média de formação de 16 anos. Geraram-se duas categorias, sendo que uma refere-se ao conhecimento do enfermeiro sobre a qualidade da assistência de Enfermagem e outra sobre a prática do enfermeiro. Conclusão: observou-se que os enfermeiros atribuíram a qualidade da assistência ao cuidado centrado no paciente de forma humanizada, holística e segura. Consideraram-se, quanto à aplicabilidade na prática, as atividades desenvolvidas na rotina como processos que garantem uma assistência de qualidade. Contribui-se, pelos resultados, para planejamentos e melhoria da assistência de Enfermagem. Descritores: Qualidade da Assistência à Saúde; Enfermagem; Cuidados de Enfermagem; Segurança do Paciente; Unidade de Terapia Intensiva; Assistência à saúde.RESUMENObjetivo: analizar el conocimiento y la práctica del enfermero sobre la "asistencia de Enfermería de calidad" en la Unidad de Terapia Intensiva. Método: se trata de un estudio cualitativo, descriptivo, observacional, realizado con diez enfermeros efectivos de la UTI. Se aplicó un guion de entrevista semiestructurado y se analizaron los datos por medio de Análisis de Contenido. Resultados: se revela que la mayoría es del sexo femenino, con edad media de 44 años y media de formación de 16 años. Se generaron dos categorías, siendo que una se refiere al conocimiento del enfermero sobre la calidad de la asistencia de Enfermería y otra sobre la práctica del enfermero. Conclusión: se observó que los enfermeros atribuyeron la calidad de la asistencia al cuidado centrado en el paciente de forma humanizada, holística y segura. Se consideraron, en cuanto a la aplicabilidad en la práctica, las actividades desarrolladas en la rutina como procesos que garantizan una asistencia de calidad. Se contribuye, por los resultados, para planificaciones y mejora de la asistencia de Enfermería. Descriptores: Calidad de la Atención de Salud; Enfermería; Atención de Enfermería; Seguridad del Paciente; Unidades de Cuidados Intensivos; Prestación de Atención de Salud.

scholarly journals Implementação da metodologia Safety Huddle na Terapia Intensiva durante a pandemia Covid-19: Relato de Experiência

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Lucas Garcia Mello ◽  
Barbara Pompeu Christovam ◽  
Mylena Cruz Araujo ◽  
Ana Paula Amorim Moreira ◽  
Erica Brandão Moraes ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Intensive Therapy ◽  
Critical Care Patient ◽  
Care Patient ◽  
Information Technology Professionals ◽  
Second Stage ◽  
Proposed Model ◽  
Operational Flow ◽  
Terapia Intensiva

Objetivo: relatar a implementação do Safety Huddle em unidades de terapia intensiva durante a pandemia da COVID-19 através de uma ferramenta eletrônica, desenvolvida por um grupo de enfermeiros intensivistas e profissionais da tecnologia da informação que atuam na saúde. Método: trata-se de um relato de experiência sobre a implementação da ferramenta Safety Huddle, através do método ágil Scrum. Resultados: a primeira etapa foi de identificação dos indicadores que deveriam ser incluídos para a realização do Safety Huddle nas Unidades de Terapia Intensiva e necessários ao monitoramento e discussão durante as reuniões de segurança. A segunda etapa foi de implementação do modelo proposto, com apresentação do fluxo de operacionalização da ferramenta Safety Huddle com envio diário do alerta intitulado “Alerta COVID-19”. Conclusão: contribuiu para o gerenciamento e agilidade na identificação dos pacientes acometidos pela COVID-19, priorizando o atendimento de acordo com a condição clínica do paciente permitindo a disponibilidade dos leitos, otimização de recursos e assegurando os serviços assistenciais na instituição.Descritores: Cuidados Críticos; Segurança do Paciente; Gestão de Riscos; Vírus da SARS; Qualidade em Saúde.IMPLEMETATION OF THE SAFETY HUDDLE METHODOLOGY IN INTENSIVE THERAPY DURING PANDEMIC COVID-19: EXPERIENCE REPORTObjective: to report the implementation of Safety Huddle in intensive care units during the COVID-19 pandemic through an electronic tool, developed by a group of intensive care nurses and information technology professionals working in health. Method: this is an experience report on the implementation of the Safety Huddle tool, using the agile Scrum method. Results: the first step was to identify the indicators that should be included for the Safety Huddle in the Intensive Care Units and necessary for monitoring and discussion during safety meetings. The second stage was the implementation of the proposed model, with the presentation of the operational flow of the Safety Huddle tool with daily dispatch of the alert entitled “COVID Alert-19”. Conclusion: contributed to the management and agility in the identification of patients affected by COVID-19, prioritizing care according to the patient's clinical condition allowing the availability of beds, optimization of resources and ensuring assistance services in the institution.Descriptors: Critical Care; Patient Safety; Risk Management; SARS Virus; Health Quality.IMPLEMETACIÓN DE LA METODOLOGÍA SAFETY HUDDLE EN TERAPIA INTENSIVA DURANTE PANDEMIC COVID-19: INFORME DE EXPERIENCIA Objetivo: informar la implementación de Safety Huddle en unidades de cuidados intensivos durante la pandemia COVID-19 a través de una herramienta electrónica, desarrollada por un grupo de enfermeras de cuidados intensivos y profesionales de tecnología de la información que trabajan en salud. Método: este es un informe de experiencia sobre la implementación de la herramienta Safety Huddle, utilizando el método ágil Scrum. Resultados: el primer paso fue identificar los indicadores que deberían incluirse para llevar a cabo Safety Huddle en las Unidades de Cuidados Intensivos y necesarios para el monitoreo y la discusión durante las reuniones de seguridad. La segunda etapa fue la implementación del modelo propuesto, con la presentación del flujo operativo de la herramienta Safety Huddle con el envío diario de la alerta titulada "Alerta 19 COVID". Conclusión: contribuyó al manejo y agilidad en la identificación de pacientes afectados por COVID 19, priorizando la atención de acuerdo con la condición clínica del paciente permitiendo la disponibilidad de camas, la optimización de recursos y asegurando servicios de asistencia en la institución.Descriptores: Cuidados Críticos; Seguridad del Paciente; Gestión de Riesgos; Virus del SRAS; Calidad em Salud. 

A System-Level Approach to Improving the Care of the Older Critical Care Patient

2011 ◽  
Vol 22 (2) ◽  
pp. 142-149
Author(s):  
Marie Boltz
Keyword(s):  
Critical Care ◽  
Critical Illness ◽  
Critical Care Patient ◽  
Care Patient ◽  
Hospital Environment ◽  
System Level ◽  
Age Related ◽  
Comprehensive Measurement ◽  
Nursing Practice Environments ◽  
Family Centered

As the population continues to age, the specialized needs of older adult patients warrant the close attention of the critical care nurse. The combination of critical illness, age-related changes, multiple comorbidities, and the hospital environment can make the diagnosis and management of the older adult’s critical illness challenging. The NICHE (Nurses Improving Care for Healthsystem Elders) program provides a framework to create an aging-sensitive care environment in the critical care setting. The Geriatric Resource Nurse model is the foundation of the program. The goals of NICHE are to support nursing departments to (1) bring evidence- based geriatric practice to the bedside; (2) build patient- and family-centered environments; (3) cultivate healthy and productive practice environments aligned with meeting the specialized needs of older adults and their families (“geriatric nursing practice environments”); and (4) conduct comprehensive measurement of geriatric initiatives.

Steps in Developing a Patient-Centered Measure of Hospital Design Factors

2017 ◽  
Vol 10 (4) ◽  
pp. 10-16
Author(s):  
Madelene J. Ottosen ◽  
Joan C. Engebretson ◽  
Jason M. Etchegaray
Keyword(s):  
Safety Culture ◽  
Neonatal Intensive Care ◽  
Parent Perceptions ◽  
Neonatal Intensive Care Units ◽  
Built Environments ◽  
Patient Centered ◽  
Hospital Design ◽  
Centered Care ◽  
Medical Ethnography ◽  
Design Factors

Patients and families are at the center of care and have important perspectives about what they see occurring surrounding their healthcare, yet organizations do not routinely collect such perspectives from patients/families. Creating patient-centered measures is essential to understanding what they perceive about the environment as well as achieving the goal of patient-centered care. We focus this research methodology column on describing a four-step medical ethnography approach that can be used in developing patient-centered measures of interest to those studying built environments. In this column, we use this approach to illustrate how one might develop a measure that can be used to understand parent perceptions of the safety culture in neonatal intensive care units.

scholarly journals Person-Patient-Family-Community Centered Care Semakin Penting

2020 ◽  
Vol 2 (02) ◽  
pp. 30-31
Author(s):  
Adi Utarini
Keyword(s):  
Patient Centered Care ◽  
Care Patient ◽  
Family Centered Care ◽  
Patient Centered ◽  
Person Centered Care ◽  
Centered Care ◽  
Family Centered

Situasi pandemi memberikan ancaman serius dalam pemberian pelayanan individual, terutama bagi pasien dengan infeksi virus Corona yang dirawat inap di rumah sakit. Aspek medis (diagnosis dan pengobatan) yang merupakan subtansi utama pelayanan masih menimbulkan tantangan dalam penatalaksanaan pasien dengan infeksi virus Corona. Namun pada situasi yang kompleks ini, pemberian pelayanan kesehatan yang berorientasi pada kebutuhan individual setiap manusia-pasien justru menjadi semakin penting. Setiap orang (termasuk pasien) membutuhkan dukungan yang lebih besar dan berarti dari keluarga dan masyarakat, serta tenaga kesehatan. Beberapa istilah sering digunakan dan memiliki makna, prinsip dan aktivitas yang berbeda, namun tumpang tindih atau merupakan suatu kontinum: person-centered care, patient-centered care dan family-centered care.

scholarly journals A Model for the Formation of the Person-centered Dental Care Provider

2020 ◽  
Vol 7 (1) ◽  
pp. 48
Author(s):  
Carmelina F. D'Arro
Keyword(s):  
Dental Care ◽  
Care Provider ◽  
Care Patient ◽  
Self Awareness ◽  
Patient Centered ◽  
Dental Patients ◽  
Centered Care ◽  
Mindfulness Practices ◽  
Definition Of ◽  
Relational Skills

Dental education continues to emphasize scientific knowledge and technical skills, yet research reveals that what matters most to patients is how we communicate and relate to them. How do we teach trainees communication and relational skills and continue to cultivate these skills throughout clinical practice? A comprehensive model for the formation of the patient-centered dental provider is proposed and is represented by the metaphor of a tree. The model is the fruit of interviews with dental patients, observation of dental professionals, and review of literature on patient-centered care, patient satisfaction and malpractice trends. Six core relational skills include: Introduce, Solicit, Listen, Empathize, Explain, and Power of the patient (ISLEEP) and are represented by the branches of the tree. Discerning how to respond to a patient, how to apply the ISLEEP skills, moment by moment, requires being present with a kind intention, the definition of mindfulness. Mindfulness practices, represented by water, cultivate the roots of the tree which are the four aspects of mindfulness: Equanimity, Attentiveness, Self-awareness, and Empathy (E.A.S.E). Rooted in mindfulness, the dental care provider responds with intelligent and kind action, or whole person care, enriching both patient and provider.

scholarly journals The Patient-Centered Approach: A Review of the Literature and Its Application for Acoustic Neuromas

2019 ◽  
Vol 81 (03) ◽  
pp. 280-286
Author(s):  
Christopher S. Hong ◽  
Jennifer Moliterno
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Skull Base ◽  
Holistic Approach ◽  
Patient Centered Care ◽  
Review Of The Literature ◽  
Patient Centered ◽  
Medical Specialties ◽  
Acoustic Neuromas ◽  
Centered Care

AbstractPatient-centered care is defined as “care that is consistent with and respects the values, needs, and wishes of patients” and is best achieved when clinicians involve patients and their support system in health care discussions and decisions. While this approach has been well established and supported in more general medical specialties, such as primary care, that may encompass a more holistic approach, it has rarely been described in surgical disciplines. Acoustic neuromas (ANs) can be unique among other skull base and intracranial pathologies, in that the management of these tumors can vary from patient to patient depending on various factors. Moreover, typical options, including observation, radiation, and surgery, may often have equipoise for some patients and their tumors. Therefore, a patient-centered approach, strongly guided by the expertise of experienced skull base surgeons, may likely be the most appropriate type of care for patients with ANs. Herein, we review the documented use of patient-centered care in other aspects of medicine, propose the benefits of this approach for patients with ANs, and provide ways this can be better implemented in practice.

Rehabilitation, not injury or treatment details, dominate proximal humeral fracture patient concerns: a thematic analysis

2017 ◽  
Vol 5 (3) ◽  
pp. 351 ◽  
Author(s):  
Nathan N O'Hara ◽  
Alisha Garibaldi ◽  
Sheila Sprague ◽  
Joshua Jackson ◽  
Alyson K Kwok ◽  
...  
Keyword(s):  
Proximal Humeral Fracture ◽  
Improve Patient Care ◽  
Humeral Fracture ◽  
Patient Centered Care ◽  
Care Patient ◽  
Structured Interviews ◽  
Post Injury ◽  
Patient Centered ◽  
Information Recovery ◽  
Centered Care

Background, objectives, and aims: To provide treatment using a patient-centered care model, the provider must understand the needs and wants of the patient and ensure the patient has access to appropriate and necessary health information. The objective of this study was to determine what information is most desired by proximal humeral fracture patients following their injury.Methods: This qualitative study enrolled patients aged 60 years or older presenting with a proximal humeral fracture. Semi-structured interviews were conducted within one-month of injury and at 6-months post-injury. The interviews were transcribed, coded and analyzed using thematic analysis.Results: Four themes (biomedical information, recovery, engagement opportunities and support available) emerged from the coded data. Within one-month post-injury, the most commonly identified themes were rehabilitation and support available. Six-months after the injury, the most commonly identified theme remained rehabilitation, while the second most frequently identified theme shifted to engagement opportunities. The biomedical information theme emerged infrequently at both interviews. Conclusions: Patient-centered care models for proximal humeral fracture patients could be improved by adapting to dynamic information concerns. While the effect of the injury on the patient’s rehabilitation remained the leading concern for the duration of the study period, secondary concerns did change over time. Providing germane information to patients at timely intervals supports patient-centered care, patient engagement and ultimately may improve patient care.

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